(Radio Iowa) – A district court judge has ruled an Iowa law that blocks Medicaid coverage of gender confirmation surgery is unconstitutional. The A-C-L-U of Iowa filed a lawsuit after Aiden Vasquez and Mika Covington were denied state-paid Medicaid coverage for surgeries their doctors said were medically necessary to treat gender dysphoria. Judge William P. Kelly’s ruling says those denials violated the Iowa Civil Rights Act and Iowa’s Constitution.

The legal director for the A-C-L-U of Iowa says it’s a historic win for transgender Iowans. A spokesman for Governor Kim Reynolds says the governor’s office disagrees with the ruling and is exploring all options, including appealing the district court’s ruling to the Iowa Supreme Court.